 Why are FAMILIES and mental health advocates of loved ones WITH SERIOUS BRAIN DISORDERS fighting so hard FOR RECLASSIFICATION?Recently, the term Serious Brain Disorder (SBD) has been circulating in my Facebook mental health advocacy groups more and more. At first, it seemed as if these circles of advocates wanted the insurance companies to code Serious Mental Illnesses (SMIs) differently so they would issue better compensation to psychiatric providers and so patients could have easier access to treatment. In that case, I thought, why not address it with how the insurance companies are required to code them? But it starts elsewhere, beyond the insurance companies. As I explored and researched the issue, it became clear that taking Serious Mental Illnesses seriously must include labeling it transparently and as unbiased as possible. Here are several reasons why families and mental health advocates of loved ones with Serious Mental Illness—especially schizophrenia and the like—are fighting with all their hearts, souls, and minds to have it recognized as what it truly is: Serious Brain Disorder. First, What is SMI?The Diagnostic and Statistical Manual of Mental Illnesses defines Serious Mental Illness as “a small subset of the 300 mental illnesses that are in DSM.” “According to the National Institute of Mental Health, serious mental illness is relatively rare, affecting only 5% of the population over 18. Serious mental illness includes schizophrenia; the subset of major depression called ‘severe, major depression’; the subset of bipolar disorder classified as ‘severe’ and a few other disorders.”(4) One of the sources I interviewed pointed out that the general public doesn’t know what Serious Mental Illness is so reclassification would clarify the concept. On the other hand, I pointed out, wouldn’t that muddy the water? Not if they are educated. SBD EffortsAn organization advocating for the reclassification of SMI to SBD is the National Shattering Silence Coalition (NSSC). The nonprofit has eight points of unity members align under, and the first is their primary concern:
The Two Were Once OneThe two disciplines—neurology and psychiatry—are not as different as one may think. In fact, at one point they were one discipline. Historically, psychiatry and psychology were a part of neuropsychiatry until “psychiatrists enthusiastically embraced the key that they were given to the human psyche, and this new ‘mentalistic’ approach consequently detached psychiatry from neurology,” this article in neuro.psychiatryonline.org explains. “It may be further speculated that neurologists, too, accepted this dichotomy and were relieved to leave the treatment of mental illness to others.”(1) A Broken System Slighted and MisunderstoodMental health and the demand for psychotherapy and psychiatry are coming into the forefront on matters related to COVID-19’s mental toll on peoples’ psyches. However, advocates for SBD have been begging for practical solutions to a broken mental healthcare system long before the present worldwide crisis. Jeanne Allen Gore, SBD advocate, co-founder, and Coordinator of NSSC, argues that mental healthcare as an industry has been misconstrued, underfunded, and at a large disadvantage from neurology and pathology sciences and healthcare systems. Gore points out, “If you do the math, there is a glaring mismatch: $36.55 spent on adults with SBD compared to $478 on those with Alzheimer’s, which is 13 times, or 1,327% more per person.” According to Gore, other brain disorders like Alzheimer’s and autism have been inclined to more empathetic responses from the public. Since Alzheimer’s and autism have been funded and fought for their position at the table of medical sciences to be recognized as structural, biological, and medical brain disorders, it appears they garner more compassionate attitudes and legitimized views from society. The Science Has Been ThereIn the article at neuro.psychiatryonline.org, authors Shahar Arzy, M.D., Ph.D., and Shlomo Danziger, M.A. explain, “With our current scientific understanding of the cerebral basis of psychiatric disorders, the era of the computational, data, and genomic revolutions once again merges the domains of neurology and psychiatry for a neuroscientific-based diagnosis, monitoring, and treatment of neuropsychiatric diseases.”(1) In regards to SBDs like schizophrenia and symptoms like psychosis, science and technology are making ways to merge the disciplines of neurology and psychiatry. Especially in disorders like schizophrenia, severe depression, and severe bipolar disorder where psychosis is a symptom, these are brain-based and medical in nature. “More recent and dramatic evidence has come largely through functional magnetic resonance imaging and positron emission tomography,” per Mary G Baker, President, European Parkinson’s Disease Association as stated in Baker, Kale, and Menken.(2) Mary Palafox, RN, Chair of the Schizophrenia and Psychosis Action Alliance (S&PAA) states, “It’s not a debate whether schizophrenia is a neurological illness. Science has already determined schizophrenia to be a neuro-developmental disorder.” You can visit their website over the next few months and follow how S&PAA is actively changing the treatment paradigm for those with schizophrenia spectrum disorders. A Legal Loophole and Political ProblemsYet in practical solutions to psychosis in schizophrenia, psychiatrists cannot treat psychosis if the patient is not voluntarily admitted or concedes to treatment by their own will. In any other discipline, in a state of psychosis as a result of a medical condition, the doctors must treat, and their hands aren’t tied by laws. The danger of the legalities with SMIs or SBDs is what happens to many with SBD like schizophrenia when untreated, known as “dying with their rights on.” Jeanne Allen Gore writes: “People with neurological illnesses, under medical standards of care, have access to resources and supportive care that those diagnosed with a ‘mental illness’ do not have access to. Their doctor makes the decisions about what level of care is needed and when it’s needed, not a judge. For decades, the decision to admit a patient with SBD for medical care has been made based on laws requiring dangerousness and the availability of hospital beds, or should I say, lack thereof, rather than medical necessity.” She emphasizes, “This unconscionably cruel system has resulted in horrific abuses, neglect, and suffering. Our loved ones end up homeless, incarcerated, or dead far too soon. Science has proven these are no-fault, neurological brain disorders. Clinicians, doctors, and scientists know this. They are not a failure to control one’s behavior, a character weakness, or the result of a traumatic childhood.” Behavioral and mental health sciences have their value in psychosocial rehabilitation for substance use. Psychotherapy continues to be a respected and evidence-based approach for those with cognitive damage and disorders from substance use, trauma, and brain injury. The value of psychology and psychiatry cannot be ignored and compartmentalized, and there is a place for all these studies to effectively work together to help patients and those who care for them. It won’t be achieved as effectively and as successfully if true severe, serious mental illness, is not taken seriously in and of itself. To do that, action must be taken to move psychiatry and neurology back into a working relationship. The advances in science are here and there is enough evidence to show the validity of a medical cause of schizophrenia and these types of severe illnesses. The Bottom LineThe battle to have SMI recognized as SBDs continues, in order to be funded for more research to find better treatments and more physical tests connecting the symptomology of psychosis to the etiology (causes) of biological and physical structures. When the standard world health organizations take serious brain disorders seriously, then doors can open to more changes and better care. Then insurance payers can code them “medical” and doctors in hospitals and ERs will have to treat them as any other medical condition: with integrity, compassion, and ethics. Advocates for SBDs are pleading for this shift in terminology and semantics because of the severity of the illnesses and the brokenness of the system that currently treats those with them. With language that articulates that these disorders are brain-based and physical, reclassifying SMI to be recognized through medical standards can lead to better care and more practical solutions for individuals who suffer from it. This will level the playing field for equity in research and treatment funding, awareness campaigns, and give access to care and programs like #HousingThatHeals, just as Alzheimer’s and autism have achieved. With every discovery we make to understand mental illness, we will all inevitably have to face the reality that “mental” is medical. Reclassifying Serious Mental Illnesses as Serious Brain Disorders is the gateway to the broader acceptance of that reality. references
addendum from Kerry Martin, CEo & FounderAn added benefit of reclassification is removing the word "mental" from our narrative which would erode stigma in our society — in our workplaces, schools, social media, etc — saving lives and lessening suffering for our children, youth and adults struggling with their mental health. Stigma is trapping far too many behind its wall in silence and in shame, keeping those in need from reaching out for help. And, for those who believe we have made great strides in eradicating stigma, I would ask you, why hasn't our own Congress repealed a blatantly discriminatory law that has been on the books for almost 60 years, the IMD Exclusion, that has resulted in marginalizing our most vulnerable citizens, incarcerating them in our jails and prisons, walking over them on our cold streets, and pushing them into early graves?
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2/7/2022 A Personal Message to All Struggling, Especially teens and Young Adults: I See You, I Hear You, AND If My Words Could Make a Difference, This is What I Would Say to YouRead Now If you were having symptoms of a heart attack would you call yourself “crazy” or would you call 911 and get help? Here’s what I would do. I would definitely not be calling myself “crazy.” I would be calling 911, telling them it was an emergency, that my life was in danger, and I need an ambulance and paramedics sent as soon as possible to get me to the hospital. If I could not call, my loved ones or friends would call. Even a stranger would call if they saw me collapse. If I saw someone in such a crisis, I would make the call to 911 myself. And what if medicine or life enhancing therapies such as nutrition, exercise, sleep, and stress reduction could help save my life? I would ask my doctor to educate me on the best “heart health” practices. I’d ask for prescriptions and referrals because I want to stay alive, be healthy, and I don’t want to die. So why do we insist on thinking our brain is not part of our body and act so differently when our brain health is at risk? Why do we dismiss or hate ourselves and/or think others will ridicule and/or shame us if we have a “mental” illness? Maybe in part it’s the stigma we feel and fear we’ll feel that’s so associated with the words “mental” illness. I don’t like how that word has been used. It’s said in disparaging ways, in unkind, and untrue ways - as in - she’s “mental” and he’s “mental.” “Mental” meaning “crazy” - less than human - an aberration. Being “other” than everyone else. “Just pull yourself together. Snap out of it! Stop wallowing. I’ll give you something to really cry about.” That’s some of the unhelpful comments we hear. And how about, “It’s all in your head?” Meant as a put down, but in reality, yes, that’s true. Inside our head is our brain and it needs help not sarcastic, shaming, or demeaning remarks and criticisms. Do I call my lungs “crazy” when I’m having an asthma attack? Definitely not. My lungs are not well, yes. But crazy? No. And what do I do to help myself? I’ll use my inhaler. If I’m still in an acute crisis - as in - I’m wheezing so much that I'm having real trouble breathing, I’ll get myself to an emergency room. Will I be ashamed of being asthmatic? No way. I will tell the nurses and doctors I have asthma and ask for medical help. How different, though, it can be for psychiatric illness that strikes at the brain. It’s essential to remember that the brain is part of the body. “Mental” illnesses are in reality physical illnesses. Our brain and our mind may suffer, but that does not mean we are “looney tunes, crazy, or nuts.” After all, the brain impacts our whole being - how we think, feel, act, speak, eat, sleep, and more. Think of it this way. When our brain is attacked from inside itself, we might experience a depression attack, manic attack, anxiety attack, panic attack, suicidal attack, self-hatred attack, what’s the point of living attack, an urge to self-harm attack, body image distortion attack, and other such “attacks” whose source is invisible from the outside while all too painful and real from the inside. Our brains are not “crazy.” These types of attacks are just as real, just as important, and are just as in need of help as when we have a heart attack. A heart attack can be life threatening. A brain attack can also be life threatening in terms of life and death, as well as the on-going quality of how we are able to live our lives. Let me ask you this. Do you know that suicide is the 10th leading cause of death in the United States? Here in Oregon where I live, the number one cause of death for ages 10 to 24 years old is suicide. These deaths did not have to be. The flesh and blood lives that could have still been lived now forever lost into the abyss of suicide. We must be vigilant and aware of “psychiatric brain attack” warning signs such as change in mood, suicidal thoughts and actions, self-harming, change in sleep and eating, alcohol and drug use, anxiety, panic, and despair. Our brain deserves respect, and it deserves help. We deserve our and others’ understanding and compassion, and not the cruelty of being shamed. Silence, shame, and stigma need to be banished. That will happen when the truth about psychiatric illness is known and we bravely share our mental health stories. Let’s make everyone aware that illness attacks on brain health are real. They can be life threatening and should be approached just as one would any other health crisis. Now that you know the truth and that medication and/or therapy help is available, please don’t become a statistic. Save your life. That’s what your brain and your heart want you to do. Have my words made a difference? I pray that they do. Your voice has power in The “If My Words Could Make A Difference” Youth Mental Health Campaign.
Teens and young adults can share their own creative pieces of work or view those submitted by others on ASHA International's website. They can not only be part of the conversation but help lift their peers up as well. Our youth are in a crisis, with a national emergency declared. please share OUR message and THIS campaign.Please share our message as well as this youth campaign with those who may benefit from hearing it or taking part in the conversation, and sharing their story. Let's all be there during this National Emergency for Youth Mental Health. Our youth are in a crisis. We cannot let them down. Let's remind them: "You are important. Your thoughts, feelings, and observations are important. You can make a difference. What if your ideas could help change the world? What if your ideas could help improve the life of just one person? Would it be worth it? We think so!" Do you need help now? Please reach out. help is available. Poster by Diane Kaufman and Amanda Meador. If you're in a crisis, please reach out now. Call the National Suicide Prevention Lifeline 24/7 at 1-800-273-8255. Or, to connect with a Crisis Counselor, text HOME to 741-741. You can do this. You matter. AuthorDr. Diane Kaufman, MD, Child Psychiatrist, Humanism in Medicine Awardee, Founder-Director, Arts and Healing Resiliency Center, Mind Matters, PC; and, Suicide Prevention Collaborator, Accelerating Social Good. 2/2/2022 PRAYER WORKS BUT SO DOES COUNSELING: Let’s Normalize Seeking Help for our mental health in THE Black Community SO ANOTHER GENERATION DOESN'T suffer in silenceRead Now Photo by RODNAE Productions from Pexels OUR GRANDPARENTS MADE US FEEL ASHAMED WE NEEDED HELP BUT HOLY OIL CANNOT FIX EVERYTHINGLet’s talk about this. In all honesty, there are several reasons why there is such a huge stigma associated with mental health, especially in the Black community. Mental health probably was never a topic of conversation for many black families. If the topic did come up, our grandparents would just throw some holy oil on us and pray. They felt that anything out of the normal was demonic. The foundation of mental health among many black people can be traced back to times of slavery. In reading about history, I can't help but imagine many slaves suffered from severe anxiety, depression, as well as other mental illnesses. We need to stop telling each other WE'RE OKAY WHEN WE'RE HURTING INSIDEThis issue of masking mental illness is prevalent in the black community. The majority of us who suffer from mental health struggles in the black community suffer in silence due to stigma. Speaking from experience, I grew up in a culture that tells us “we are to be strong,” that we “should deal with problems on our own.” This only enforces the idea that it is not okay for us to say we are hurting inside. I have spoken to countless friends who say “you don’t suffer from mental health illnesses and you should pray.” I do pray, daily. However, I also need to be realistic and understand that I do suffer from mental illnesses. I do need to seek additional help, such as counseling.
Why aren't African Americans seeking mental healthcare?Approximately, 25% of African American seek mental health care compared to 40% of whites. Why is this? According to Mental Health America:
BLACK CELEBRITIES SPEAKING Out ABOUT THEIR MENTAL HEALTHLuckily, in recent years, more and more black people, including those in the public eye, have opened up about dealing with and overcoming the struggles of mental illnesses. During an interview with Essence Magazine in 2018, Janet Jackson, noted that depression and feelings of inadequacy have followed her since childhood. In 2013, former Destiny's Child member, Michelle Williams, revealed she has been battling depression since she was a teenager. She has since become a mental health advocate and has spoken about her struggles openly on many platforms. it's okay if you're going through something. it's even better if you seek help.I believe God-gifted people -- physicians, doctors and therapists -- to assist in our healing. Please go see a professional so that they can assess you. It's okay if you're going through something. It is even better to seek help. You don't need to tough it out. It's not cute to walk around knowing you need help but won't seek it because of what others may think. Other people's opinions of you are their issue, not yours. by not opening up about our mental health, we're saying it's okay for ANOTHER generation to GROW UP WITHOUT help.If we are unable to remove the negative stigma surrounding mental health in the black community, we are willingly allowing another generation to grow up without access to counseling and mental health resources that can help them live a happier and healthier life. In order to end the stigma of mental health, we need to have candid conversations surrounding mental illness. I do not think many of us are aware that mental health is a physical disease and it affects us in more ways than we think. People need to be educated. I have had conversations with friends who do not understand why I suffer from mental illness. I'm the one who has to educate them as it's extremely important to do so. The black community should not be afraid to have these types of discussions. These conversations should start in the household and be held without judgement. Let’s start having conversations first and then we can move on from there. resources for our communityreaching our national hotlineNational Suicide Prevention Lifeline: 1-800-273-8255 Crisis Text Line: Text HOME to 741-741 to reach a Crisis Counselor AuthorDr. Meagan T. Copelin is an international speaker, author, empowerment coach, blogger, contributing writer and podcaster; and we are honored to have her serve as our Supporting US Chair for Accelerating Mental Wellness, our social change campaign to co-create stigma free workplaces built on a foundation of empathy with needed mental health supports and programs. Meagan is also the Founder of Mental Rich, a mental health company and brand, dedicated to helping young girls and women who suffer from mental illnesses steaming from abuse, abandonment, and rejection. Her calling is to become a trailblazing voice for young girls and women worldwide. Drawing on her own experiences of mental illness due to abuse, rejection, and abandonment, Meagan uses her words to encourage others to build a home within themselves; and, to love, live, and create fearlessly. Her advocacy projects and efforts have helped her to be featured on several platforms for the purpose of empowering women to tell their story from struggle to success and live up to their full potential. 1/31/2022 So Many Hearts Ache for Lives Lost to Suicide THAT We, The Living, Must Shine a Healing Light on Silence, Shame and Stigma: AN Interview with Child Psychiatrist, Artist and Poet, DR. DianE Kaufman, MDRead Now Hope lives. shame kills. everyday is suicide prevention day for Dr. diane kaufman, MD.Kerry: As suicide survivors and mental health advocates, Lucia and I both so deeply appreciate your tremendous body of work in suicide prevention. Your award-winning poems, songs, posters, videos and even an opera have inspired hope, encouraged people who are hurting to reach out and offered solace to those who have lost a loved one to suicide. Can you tell us why suicide prevention plays such a prominent role in your life and work? Diane: In August 2019, my friend and mental health colleague Stacy ended her life by suicide. Her tragic death was and still is a shock to me. Stacy was a psychiatric nurse practitioner of great skill and compassion. I respected and admired Stacy for having so many positive qualities. I used to tell myself, if a family member of mine needed care, I would send them to Stacy. Her taking her own life and leaving behind two sets of young twins was absolutely one hundred percent out of character for Stacy – the woman, friend, and mental health professional - that I knew her to be. What ended Stacy’s life – what devoured, destroyed, and killed her – was depression. Even as I say these words, tears come to my eyes. I still can’t believe she is gone. Depression is a physical illness that invades the mind, body, and spirit. And, it can kill.
There, however, have been other significant events. When I was a medical student, I attempted suicide, and was medically hospitalized. When I was married, my father-in-law killed himself by gun shot. My teenage patient, who seemed to her mother, her teachers, and to myself to be doing so well, hanged herself in 2016. The best friend of my young adult patient died by overdose in 2020. My patient, who had her own history of suicide attempts (prior to when I began treating her), found her friend, and then became at increased risk for suicide herself. All of these tragic events have transformed me into a suicide prevention activist. poetry transforms depression and despair into Healing and hopeLucia: Why do you choose to express yourself through poetry? And, what was the impetus behind writing the poem, “Don’t Give Up” which you would later turn into lyrics with a song-writer and then two Suicide Prevention Public Service Announcements (PSAs), both a one minute version and a longer five minute version, in hopes that people would share the PSAs far and wide to help those who were struggling?
Diane: I turn to poetry to express myself when I am feeling overwhelmed by thoughts and feelings. It’s a way to safely get what is inside of me – what’s troubling me – out into the world and onto a page. It often feels like the poem is a living thing wanting to communicate and be expressed, and I am the one listening and holding the pen to let it out – to be taken in and experienced by another. “Don’t Give Up” was an outpouring of my heart listening to the sadness, depression, despair, and suicidality of my youth patients. It’s a conversation with a suicidal person. The poem is saying even though you want to kill yourself, please don’t do it because I understand how you feel, and I know that your choosing death is not the answer. There are reasons for you to keep living and people who truly care and can help you.  How do we convince those feeling hopeless to not give up?Kerry: There is a quote by Hal Lindsey, “Man can live about 40 days without food, about 3 days without water, about 8 minutes without air, but only for 1 second without hope.” Not surprisingly, hopelessness is the leading predictor of suicide. Speaking as an attempt survivor, I can certainly attest to that being the case for me. For months on end, I battled with feeling like there was no hope that anything was going to get better, no hope I was going to feel anything other than this unbearable sense of loneliness, bleakness and foreboding, no hope for a better tomorrow … really that there was no hope for me. And, then to see those I love seeing me that way and not knowing how to help me was just too much to bear. I was not only hurting but I was hurting them. How do we get people to not give up and give into these feelings of hopelessness? Diane: The first line of the poem/lyric is “Don’t give up even though you want to.” Many people – maybe all people – have at times felt like giving up - wishing they were never born, wishing they could just sleep forever, wishing they could be dead, and for some – wanting to end their emotional pain by killing themselves. I want the person listening to the song to feel the song is being sung just for them. For them to know they are not alone in feeling hopeless, and yet also to know that this day is not forever, there will be another day and life can change for the better. As long as there is life and there is help available there is hope. Suicide is forever. The severe emotional pain coming from depression and/or severe life stressors can be helped, lessened, and improved while we are still alive. We don’t have to kill ourselves to stop the pain. I know this to be true as I have lived it. When we are depressed, our thinking gets distorted and it’s as if all we see is darkness. It’s important to be compassionately reminded that, “There will be a better now even when we don’t see how” and that “Tomorrow’s light is a gift from the night.” What more can we all be doing to help our CHILDREN struggling with their mental health?Kerry: Given your specialty is child psychiatry and you see in your practice teens who struggle with suicidal ideation or who have attempted to take their own lives, what more do you think we need to be doing to help our kids given suicide rates are increasing in this demographic? In October 2021, the American Academy of Pediatrics, American Academy of Child and Adolescent Psychiatry and the Children’s Hospital Association declared a national emergency in youth mental health. This declaration should inspire and galvanize us to collaborate on behalf of youth mental health by improving access, services, and resources. We need more mental health providers and services available. We need more in-patient psychiatric beds available, as well as a higher level of care and specialty programs. Social media can damage youth mental health when self-worth is judged by “likes” and when sense of self and self-esteem plummets by negatively comparing ourselves to online profiles of others. Youth need healthy social connections and to experience themselves as worthwhile. They need caring adults who will ask the questions – “Are you okay? Are you feeling anxious and/or depressed? Are you thinking about hurting, cutting, and/or killing yourself? You can tell me because I care about you.” Youth need to know there is no shame in seeking help and that mental health is physical health and help is available. Mental health education should be integrated into all school settings. There are skills and coping strategies we all need to learn and practice. We also need to understand the warning signs of mental illness so we can better recognize when things are not okay with us. honoring and practicing THE human art of connection To promote mental health and NUTURE resiliencELucia: Diane, you have also worked for many years as a Child Psychiatrist back East and now in Oregon, and have extensive training in the therapeutic use of poetry, art, and story. Now, as Founder and Director of the Arts and Healing Resiliency Center at Mind Matters, PC, how are you working to eliminate silence, shame, and stigma to prevent suicide? Mental health well-being can be nurtured in many different ways. I have Bipolar II Disorder, attempted suicide as a young adult, and became a child psychiatrist. Sharing my story helps break through silence, shame, and stigma. I am an ASHA International storyteller and am on their Board of Directors. It’s a great organization that highlights the “superpower” of our personal mental health stories. The expressive arts can also play a vital role in facilitating and fostering mental health. The inspired mission of the Arts and Healing Resiliency Center is to honor and practice the caring art of human connection. The ARTS Program, our unifying concept, inspires Adolescent and Adult Resiliency Training as well as Skills and Support by interweaving evidence-based mental health skills, positive psychology principles, and the creative arts to promote, nurture, and build mental health and life affirming resilience. The goal of the program is a felt sense of personal integrity, authenticity, and responsibility leading to social-emotional and behavioral well-being. We offer online workshops, special events, mentoring, and therapy.
AuthorSKerry Martin, CEO and Founder, and Lucia Martinez Rojas, Social Media Strategist and Videographer, Accelerating Social Good with guest Diane Kaufman, MD, Child Psychiatrist, Humanism in Medicine Awardee, and Founder and Director, Arts and Healing Resiliency Center, Mind Matters PC. 12/15/2021 EMPATHY AND KINDNESS IN our WORKPLACEs priceless: WHAT WORKING WITH STIGMA FREE LEADERSHIP LOOKS LIKE when you have undiagnosed major depression, anxiety, add and an eating disorderRead Now We have an advocacy campaign running to eliminate stigma in the workplace and create cultures based on kindness and empathy, and have published a number of blog posts speaking directly to our team's lived experience with workplace stigma and the negative impact it has on their lives (such as being fired after CEO finds out our India Chair has bipolar disorder and a suicide attempt after our US Chair is laid off whilst in throes of major depressive episode.) This is a different story however - one based on working in a stigma-free environment with my lived experience, mental (read physical) illness and an eating disorder. What I was up against: undiagnosed inattentive ADD, social anxiety, major depression, and an eating disorderI was |
